Post-Accident Drug Testing: Some Things to Know

Dr. Gil Explains Post-Accident Testing

At Dr. Gil’s, we can perform post-accident testing after an employee has been involved in a work-related accident. This type of testing helps determine whether alcohol or drugs played a role in the incident. The procedure often raises many questions, and Dr. Gil has the answers. Here are some things you should know about post-accident testing. 

How Does Post-Accident Testing Work?

Drug use can cause an employee to become impaired, which can lead to a work accident. Employers should establish criteria for how and when testing will occur and outline post-accident procedures in the substance abuse policy. Typically, all work accidents are reported to a company representative, who will then decide whether to implement testing. Examples include fatalities, injuries that require medical assistance, or significant damage to a vehicle or property.

If an incident occurs that meets the criteria, notify the employee, and give instructions for how to complete the test. Provide safe transportation to the medical clinic.

What Are Common Methods for Post-Accident Drug Testing? 

Dr. Gil’s primarily uses urine sampling for drug testing, but we can also use oral fluid (saliva). The oral fluid method can detect recent drug use and makes it extremely difficult for the employee to cheat.   

What Drugs Are Detected?

Our post-accident testing checks for illicit drug use: amphetamines, cocaine, THC, phencyclidine, opiates, as well as alcohol. Employers can test for as many substances as they want, including prescription drugs.   

How Soon Should Employees Be Tested After an Accident?

Following an accident, Dr. Gil’s performs a drug test as soon as possible. We’re on call 24/7 for post-accident testing and treatment. Different drugs can have different windows of detection, so the testing should be completed within 12 hours of the incident. It’s best for employees to not return to work until after they receive the test results.   

While the results may determine drug use, a positive result can’t prove that drug use directly caused an accident. 

Related Post: The Most Common Workplace Injuries 

What Are the Benefits of Post-Accident Testing?

Many employers invest in post-accident testing because it can help them assess whether unsafe work practices may link to drug use. Another benefit is that post-accident testing can deter drug use among employees, especially if they’ve been involved in a previous accident. Furthermore, it offers employers peace of mind if they know that drugs did not influence the workplace accident. 

Related Post: The Benefits of Random Drug Testing 

Post-Accident Testing at Dr. Gil’s 

Dr. Gil’s Immediate Care has been a community staple for nearly 20 years. If you’d like to implement post-accident drug testing for your business, contact us today. We offer after-hours service with a 24-hour on-call medical staff for all post-accident and reasonable suspicion needs.  

What Does an MRO Do?

In the occupational health field, medical review officers (MRO) play a very important role throughout the employee drug testing process. Using an MRO helps protect both the employer and the employees. Today on the blog, Dr. Gil elaborates on the role and responsibilities of an MRO. 

What Is a Medical Review Officer?

An MRO is a licensed medical doctor who has special training in substance abuse testing. He or she works directly with the employer and laboratory to carefully address and examine the data and results of the drug screen. An MRO must be impartial and advocate for the integrity and accuracy of the drug testing process. 

Related Post: What Is Drug Screening?  

What Does an MRO Do?

The general duties and responsibilities of an MRO include:

  • Reviewing the results of the drug test
  • Evaluating medical explanations for certain results
  • Reporting the verified result to the state agency
  • Providing feedback to the employer, laboratory, collection site, or federal agency on any problems
  • Determining whether further testing is required
  • Keeping all records and drug testing information confidential 


A positive drug test result does not automatically mean that the individual has been using drugs. So, the MRO applies his/her expertise to interpret any alternate medical explanations for the results.

Specimens may be reported as positive, adulterated, substituted, invalid, or rejected. When a specimen is reported as negative, the MRO must review it properly and also report it to the state agency. 

What Is an MRO Review at Dr. Gil’s?

An MRO review is a required procedure for every DOT drug test to guarantee accurate and impartial results. A federally certified laboratory will review the drug tests and non-negative test results, which can take about 3-5 days. After he receives the lab report, Dr. Gil will verify the information. Then, during the MRO review, he will present his final result as either a positive or a negative. Employees who test positive will need to be evaluated by a substance abuse professional (SAP). 

If you have more questions about our drug screening process, our friendly team is here to help.

Related Post: What You Should Know About Hair Collection Testing

Get Drug Screens in Springfield, MO

Dr. Gil’s Immediate Care is committed to helping you improve workplace safety. We provide a full range of drug screen solutions that comply with state and federal regulations. If you are an employer, it’s time to get drug screens for your workforce. Call 417-869-8000 today or contact our staff online. We’re open 6 days a week, and no appointment is necessary.  


What Happens If I Fail a Pre-Employment Drug Test?

Prospective employees are often required to take a pre-employment drug test, which can raise many questions. There are consequences of failing a pre-employment drug test, but you can’t get in legal trouble for a pre-employment drug test unless you’re taking a test for probation. Today, Dr. Gil explains more about what happens if you fail a pre-employment drug test.   

What Happens If I Don’t Pass My Drug Test?

At Dr. Gil’s Immediate Care, our rapid drug tests determine negative tests within minutes. A federally certified SAMHSA laboratory must review non-negative test results and regulated drug tests, which typically takes 3-5 days. After we receive the lab report, Dr. Gil will confirm the result with the specimen donor to make sure there’s no medical reason for the positive test result, such as a prescription medication. 

Then, once Dr. Gil has validated the information, he’ll display his final result as either a negative or a positive. This is called an MRO interview. If the employee tests positive for any regulated drug test, a substance abuse professional (SAP) will need to evaluate him or her. If you have more questions about our drug screenings, visit our FAQ page or call (417) 869-8000.     

Can I Still Get Hired?

It depends on your field, but your chances of getting hired after failing a pre-employment drug test are very slim. You can try talking with the employer and ask to retake the test or apply again later.  

Related Post: What Is Drug Screening?

Does a Failed Drug Test Go on Your Record?

If you fail a drug test for a job, it doesn’t go into any public record that future employers could see. However, there are some things to keep in mind. First, the company that tested you might hold a record if you try to apply again. Next, when you apply for a job with the DOT, you must acknowledge any previously failed tests and they may ask your previous DOT employers for drug test results.  

Drug screenings from Dr. Gil’s Immediate Care will go on your medical record where they typically stay for a long time. Since medical records aren’t public, employers don’t have access to them, but anyone with clearance to medical databases can view them. 

In summary, failing a drug test is never a good thing, but in most cases, it’s not a problem that will follow you in the future. 

Related Post: What Are the Benefits of Random Drug Testing?

Looking for Drug Screen Solutions in Springfield, MO?

If you’re looking for a trusted occupational health service in Springfield, look no further than Dr. Gil’s. We provide quick, secure, and unbiased drug testing for many purposes, and we work hard to decrease the overall costs to employers. To set up an account, contact us online or give us a call today.     

What Are the Benefits of Random Drug Testing?

Many businesses have drug testing policies that indicate how and when the company screens for drug use. Pre-employment drug screening helps prevent the hiring of drug-using applicants, but random drug testing is a better way to prohibit drug use among current workers. Today on the Dr. Gil blog, read more about how random drug testing benefits employers.   

What Is Random Drug Testing?

Random drug testing is a program where the employer uses a random selection process (usually computer-generated) to choose one or more individuals from an employee pool to go through drug testing. The U.S. Department of Transportation (DOT) and Nuclear Regulatory Commission (NRC) requires federally mandated, safety-sensitive workers to undergo random drug testing. Some non-regulated employers also conduct random drug testing on their employees to deter employee drug use.

Related Post: What Is Drug Screening?

The Benefits of Random Drug Testing

Eliminate Bias

When employers use a random selection process, they make sure there’s no bias. All employees have an equal opportunity of being selected from the pool, even the ones who might have recently undergone testing. 

Prevent Drug Use During Employment

Random drug testing means that employees won’t know if and when drug testing will take place. This aspect of risk and chance acts as a deterrent to drug use during employment. 

Ensure a Safer Workplace   

If your employees are using drugs while working with power tools or heavy equipment, there’s a high level of risk involved. Random drug screening ensures that employees aren’t under the influence and affirms their ability to handle potentially dangerous equipment. This testing will help reduce accidents and create a safer work environment for everyone, including the public.   

Create a Stable Workplace

Employers can also create a more stable workplace by utilizing a random drug testing program. Drug use can cause decreased productivity at work, as well as tardiness, absenteeism, and a higher turnover rate for employment. Random screening in your workplace can help remove these problems so you can have hard-working, consistent employees. 

If you’re considering screening your employees for drugs or alcohol, whether randomly or otherwise, call Dr. Gil’s Immediate Care at (417) 869-8000.

Related Post: What Happens If I Don’t Pass My Drug Test?

Contact Us About Our Drug Tests

Whether you need pre-employment, on-site, or random drug testing, the staff at Dr. Gil’s can help you create a drug-free workplace. We have provided a full range of drug screen solutions to Springfield-area employers for over a decade. Contact Dr. Gil’s today for more information.    

What Is Drug Screening?

Businesses of all sizes perform drug screening and testing to identify employees who arrive at work under the influence of drugs. Employees who use drugs are not only less productive, but they are also more likely to miss work and suffer on-the-job injuries. Drug screens are one of the best ways to keep your workplace safe and productive, but what exactly is a drug screen? Today, Dr. Gil defines drug screening and provides an overview of the different types of drug screens.      

What Is a Drug Screen?

A drug screen is used to determine the use of illicit drugs, substances of abuse (including some prescription medication), among other contaminants.

When Should You Drug Test Employees?

There are many different types of drug screens that can be used for multiple purposes, including post-accident, pre-employment, reasonable suspicion, and more.

Related Post: What Happens If I Don’t Pass My Drug Test?

Urine Drug Screening

Urine drug screens are the most popular type due to their simple collection process, detection window, and low costs. At Dr. Gil’s Immediate Care, we collect a urine sample at our facility and send it to a SAMHSA certified lab for screening. The results usually take 24-48 hours, on average, unless further testing is required. 

Saliva Drug Screening

A saliva drug screen involves a swab of the mouth to test for many substances, including marijuana, opiates, cocaine, alcohol, methamphetamine, amphetamine, and PCP. Saliva drug screens have a shorter drug detection period than urine drug screens. The detection window for THC in the saliva is only 7-21 hours.

Hair Testing

In some situations, hair follicle testing can serve as a backup for urine testing. You may wonder how a strand of hair can detect whether an employee used a drug months ago. Drug use leaves behind metabolites in the blood, which are filtered through blood vessels in the scalp, and stay within the hair follicle forever. During hair drug testing, some of the substances tested are amphetamines, cocaine, opiates, and marijuana. 

Related Post: What You Should Know About Hair Collection Testing

Contact Dr. Gil’s About Drug Screening

Dr. Gil’s Immediate Care provides a complete scope of drug screen solutions for employees in Springfield, MO. We comply with all state and federal regulations, and we’re dedicated to keeping the workplace safe. For more information about our drug and alcohol testing, contact Dr. Gil’s today or call 417-869-8000.